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Thread: Lymphoscintigraphy

  1. #1

    Default Lymphoscintigraphy

    AAPC: Back to School
    I am getting confused with two sets of codes for the below procedre.Can anyone please confirm me whether we can bill this as


    78195-2659 ????

    Following intradermal dermal injections of 0.5 mci filtered Tc 99m
    sulfur colloid (in 0.5 cc) in the 1st web space of each foot,
    serial images were obtained at vary interval for several hours.
    There is prompt flow through the two main lymphatic trunks of the
    lower extremities. Lymphatic flow in both calves and both thighs
    and ilioinguinal lymph nodes are symmetric. Liver/spleen
    visualization is explained by Tc 99m sulfur colloid entering the
    systemic circulation through the thoracic duct. Minimal bladder
    visualization is probably due to free pertechnetate. There is no
    focus of increased activity to suggest a communication between the
    lymphatic system and GU system to explain chyluria.
    Impression: normal lymphocscintigraphy. No lymphatic communication
    with the GU system was identified.
    Prabha CPC

  2. #2


    Injection(38792) is inclusive in 78195.

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